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Student Details Form

Please print out as many copies of this form as you need and return with your Student Service Application Form and admission fee to:
International Pen Friends, Virpi Taivassalo, Meesakatu 2 C 78, 33400 Tampere, Finland

Please complete the sections set out below, in respect of each student (aged 10-17 years). The particulars should be typed or written clearly. It is particularly important that the correct year of birth is stated in each instance. The home address must always be stated. Any extra details you wish to give can be specified overleaf. (Please do not write with pencil.) We try to match country requests but there may also be other countries on the pen friend lists.

Teacher (or person in charge): __________________________
Full Name: _______________________________ Home Address: ___________________________ ________________________________________ ________________________________________  Male or Female: _______ Year of Birth: ________ Languages: ______________________________ Email: _________________________________
Full Name: _______________________________ Home Address: ___________________________ ________________________________________ ________________________________________  Male or Female: _______ Year of Birth: ________ Languages: ______________________________ Email: _________________________________
Full Name: _______________________________ Home Address: ___________________________ ________________________________________ ________________________________________  Male or Female: _______ Year of Birth: ________ Languages: ______________________________ Email: _________________________________
Full Name: _______________________________ Home Address: ___________________________ ________________________________________ ________________________________________  Male or Female: _______ Year of Birth: ________ Languages: ______________________________ Email: _________________________________
Full Name: _______________________________ Home Address: ___________________________ ________________________________________ ________________________________________  Male or Female: _______ Year of Birth: ________ Languages: ______________________________ Email: _________________________________
Full Name: _______________________________ Home Address: ___________________________ ________________________________________ ________________________________________  Male or Female: _______ Year of Birth: ________ Languages: ______________________________ Email: _________________________________
Full Name: _______________________________ Home Address: ___________________________ ________________________________________ ________________________________________  Male or Female: _______ Year of Birth: ________ Languages: ______________________________ Email: _________________________________
Full Name: _______________________________ Home Address: ___________________________ ________________________________________ ________________________________________  Male or Female: _______ Year of Birth: ________ Languages: ______________________________ Email: _________________________________
Full Name: _______________________________ Home Address: ___________________________ ________________________________________ ________________________________________  Male or Female: _______ Year of Birth: ________ Languages: ______________________________ Email: _________________________________
Full Name: _______________________________ Home Address: ___________________________ ________________________________________ ________________________________________  Male or Female: _______ Year of Birth: ________ Languages: ______________________________ Email: _________________________________